The Creation of Social Value:  Can an Online Health Community Reduce Rural-Urban Health Disparities?

Goh, Jie Mein; Gao, Guodong; Agarwal, Ritu

doi:10.25300/misq/2016/40.1.11

Cited by 250 publications

(186 citation statements)

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“…Thus, the OHC is a potential solution for the problem of rural-urban health disparities [37], especially in developing countries such as China. Nevertheless, the success of the OHC depends on whether enough physicians are actively involved in it.…”

Section: Principal Resultsmentioning

confidence: 99%

Understanding a Nonlinear Causal Relationship Between Rewards and Physicians� Contributions in Online Health Care Communities: Longitudinal Study (Preprint)

Wang¹,

Chiu²,

Yu³

et al. 2017

Preprint

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Background: The online health-care community (OHC) is not just a place for the public to share physician reviews or medical knowledge; it is also a physician-patient communication platform. The medical resources of developing countries are relatively inadequate, and the OHC is a potential solution to alleviate the phenomenon of long hospital queues and the lack of medical resources in rural areas. However, the success of the OHC depends on online contributions by physicians. Objective: The aim of this study is not only to understand physician online contribution behavior, but also to examine the helpfulness of incentive mechanisms. We addressed the following questions: (1) From which specialty area are physicians more likely to participate in OHC activities? (2) What are the factors affecting physician online contributions? (3) Do incentive mechanisms, including psychological and material rewards, result in differences of physician online contributions? (4) How can OHC managers exploit feasible incentive mechanisms to improve physician online contributions? Methods: We designed a longitudinal study involving a data sample in three waves. All data were collected from the Good Doctor website, which is the largest OHC in China. We first used descriptive statistics to investigate all of the physician online contribution behavior. Then multiple linear and quadratic regression models were applied to verify the causal relationship between rewards and physician online contribution. Results: Our sample includes 40,300 physicians from 3,607 different hospitals, 10 different major specialty areas, and 31 different provinces or municipalities. The average increments of physician online contribution scores in Gynecology-Obstetrics and Pediatrics specialty areas were 413.5 and 362.2, respectively, much higher than others. Based on the multiple quadratic regression model, we found that the coefficients of the control variables, past physician online contributions, doctor review rating, clinic title, hospital level, and city level, were 0.415, 0.189, -0.099, -0.106, and -0.143, respectively. For the psychological (material) rewards, the standardized coefficient of the main effect was 0.261 (0.688) and the standardized coefficient of the quadratic effect was -0.015 (-0.049). All estimates were statistically significantly at a 0.1% level. Conclusions: Our study discovered that the averages of physician online contribution were different in ten specialty areas. Physicians with more past physician online contribution, with higher review ratings, with lower clinic levels, not coming from tertiary hospitals, and not coming from big cities, were more willing to participate in OHC activities. To promote physician online contribution, it is necessary to establish an appropriate incentive mechanism including psychological and material rewards. Finally, our findings suggest two guidelines for designing a useful incentive mechanism to facilitate physician online contribution. First, material reward is more useful than psychological...

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Section: Principal Resultsmentioning

confidence: 99%

Understanding a Nonlinear Causal Relationship Between Rewards and Physicians� Contributions in Online Health Care Communities: Longitudinal Study (Preprint)

Wang¹,

Chiu²,

Yu³

et al. 2017

Preprint

View full text Add to dashboard Cite

show abstract

“…Patient-centered exchange models enable sharing of patient data and laboratory results with patients as required [24]. Health online communities play an operant role of triggering rural patients to communicate and share knowledge with their peers, to maintain a positive outlook and better manage their disease conditions [25]. In addition, e-health kiosks improve healthcare practices among illiterate villagers [26].…”

Section: Opportunities For It In Healthcare Transformationmentioning

confidence: 99%

“…Mobile-phone based videos and direct observation of treatment can be used to disseminate knowledge about diseases [29] hence improving service provision. Other opportunities for IT as a trigger for promotional activities include digitalized guidelines that trigger service exchange during counselling sessions between VHTs and pregnant women, e-health kiosks [25] and online health communities [26] that advocate for health issues, social media tools that trigger community sensitization and mobilization, awareness raising message alerts in form of health tips. However, such IT opportunities have not been explored to support VHTs.…”

Section: Non-technical Tasks and It Opportunitiesmentioning

confidence: 99%

Maternal Healthcare Service Transformation: Exploring Opportunities for IT Use in Task Shifting

Nyende¹

2020

Proceedings of the Annual Hawaii International Conference on System Sciences

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The transformation of healthcare services is expected to reduce health inequalities and to accelerate gains in health outcomes. Task shifting is one of the strategies adopted in healthcare transformation to make efficient use of human resources. However, limited research exists on how tasks are shifted beyond midwives, to involve community health workers or village health team members (VHTs) and pregnant women, and how IT supports and or triggers execution of shifted tasks. We examine the shifting of tasks in maternal healthcare, by interviewing midwives and VHTs in three districts in Uganda. Findings show four categories of tasks shifted at various levels of healthcare but with limited use of IT to execute tasks. We propose a model depicting opportunities for IT use both as an enabler and a trigger in executing tasks shifted. We recommend further investigations to identify IT opportunities that would trigger service exchange for pregnant women beyond health workers to include families and friends.

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“…For example, ERGM can incorporate both an individual attribute (e.g., whether a node is a hub) while also considering asset flow (e.g., shipments from Panama to Haiti). While this method has been used in prior business literature (e.g., Faraj and Johnson, 2011;Yan et al, 2015;Goh et al, 2016), to the best of our knowledge, we are the first to use ERGM in humanitarian operations management research. Our analysis illustrates that it is an effective tool to study humanitarian supply networks.…”

Section: Appendix a Exponential Random Graph Models (Ergm)mentioning

confidence: 99%

Asset supply networks in humanitarian operations: A combined empirical‐simulation approach

Stauffer

Pedraza‐Martinez

Yan

et al. 2018

J of Ops Management

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International humanitarian organizations (IHOs) respond to mega disasters while maintaining development programs in the rest of the world (ROW). This means an IHO's asset supply network must perform the challenging task of supporting a fast disaster response while simultaneously maintaining cost‐effective ROW development programs. We study how supply network asset flows are impacted during a mega disaster response and find that resource fluidity, the capability to reallocate resources quickly, impacts both mega disaster and ROW program asset flows within these supply networks. Using data from a large IHO's response to a mega disaster and econometric models, we find a dependency between ROW asset flow and mega disaster asset flow in IHOs with resource fluidity. As mega disaster flow increases, there is a decrease in hub‐to‐hub ROW asset flows and an increase in other ROW asset flows. This is contrary to most humanitarian operations research, which typically assumes independent asset flows. Because of resource fluidity, the combination of these flows does not compromise ROW operations. We use these empirical results to feed a simulation analysis that extends our research to IHOs without resource fluidity and provides actionable insights for varying types of IHOs in various demand scenarios. Simulation insights illustrate that resource fluidity impacts IHO asset supply network costs and optimal configurations.

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The Creation of Social Value: Can an Online Health Community Reduce Rural-Urban Health Disparities?

Cited by 250 publications

References 0 publications

Understanding a Nonlinear Causal Relationship Between Rewards and Physicians� Contributions in Online Health Care Communities: Longitudinal Study (Preprint)

Understanding a Nonlinear Causal Relationship Between Rewards and Physicians� Contributions in Online Health Care Communities: Longitudinal Study (Preprint)

Maternal Healthcare Service Transformation: Exploring Opportunities for IT Use in Task Shifting

Asset supply networks in humanitarian operations: A combined empirical‐simulation approach

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